New London Hospital — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 776 procedures
Procedures with negotiated rates only
These 776 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,367 – $29,042 · median $11,367 | 5 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,336 – $18,742 · median $7,336 | 5 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,901 – $12,522 · median $4,901 | 5 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $83,212 – $212,587 · median $83,212 | 5 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $41,955 – $107,186 · median $41,955 | 5 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,027 – $23,064 · median $9,027 | 5 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,806 – $14,834 · median $5,806 | 5 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,807 – $45,493 · median $17,807 | 5 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,279 – $64,583 · median $25,279 | 5 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,749 – $45,345 · median $17,749 | 5 plans |
| 509 | ARTHROSCOPY | $12,913 – $32,994 · median $12,913 | 5 plans |
| 592 | SKIN ULCERS WITH MCC | $14,228 – $36,348 · median $14,228 | 5 plans |
| 593 | SKIN ULCERS WITH CC | $8,721 – $22,281 · median $8,721 | 5 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,372 – $16,280 · median $6,372 | 5 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,591 – $39,831 · median $15,591 | 5 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,958 – $20,331 · median $7,958 | 5 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,256 – $31,311 · median $12,256 | 5 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,317 – $21,248 · median $8,317 | 5 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,656 – $14,451 · median $5,656 | 5 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,455 – $26,710 · median $10,455 | 5 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,102 – $30,917 · median $12,102 | 5 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,535 – $19,251 · median $7,535 | 5 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,648 – $14,430 · median $5,648 | 5 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $38,202 – $97,598 · median $38,202 | 5 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,580 – $52,576 · median $20,580 | 5 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,561 – $39,753 · median $15,561 | 5 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,408 – $29,146 · median $11,408 | 5 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,680 – $47,723 · median $18,680 | 5 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,717 – $24,824 · median $9,717 | 5 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,612 – $19,447 · median $7,612 | 5 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,507 – $57,500 · median $22,507 | 5 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,176 – $28,552 · median $11,176 | 5 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,696 – $19,663 · median $7,696 | 5 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,946 – $58,622 · median $22,946 | 5 plans |
| 666 | PROSTATECTOMY WITH CC | $12,860 – $32,855 · median $12,860 | 5 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,132 – $20,776 · median $8,132 | 5 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,467 – $54,843 · median $21,467 | 5 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,410 – $29,149 · median $11,410 | 5 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,196 – $33,713 · median $13,196 | 5 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,936 – $20,275 · median $7,936 | 5 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,889 – $78,913 · median $30,889 | 5 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,193 – $43,923 · median $17,193 | 5 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,067 – $30,828 · median $12,067 | 5 plans |
| 682 | RENAL FAILURE WITH MCC | $10,888 – $27,816 · median $10,888 | 5 plans |
| 683 | RENAL FAILURE WITH CC | $6,439 – $16,449 · median $6,439 | 5 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,413 – $11,275 · median $4,413 | 5 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,260 – $33,877 · median $13,260 | 5 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,703 – $19,680 · median $7,703 | 5 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,810 – $14,843 · median $5,810 | 5 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,530 – $21,792 · median $8,530 | 5 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,951 – $15,204 · median $5,951 | 5 plans |
| 693 | URINARY STONES WITH MCC | $9,884 – $25,252 · median $9,884 | 5 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,747 – $14,682 · median $5,747 | 5 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,409 – $21,483 · median $8,409 | 5 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,065 – $12,941 · median $5,065 | 5 plans |
| 697 | URETHRAL STRICTURE | $7,924 – $20,243 · median $7,924 | 5 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,163 – $31,073 · median $12,163 | 5 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,462 – $19,064 · median $7,462 | 5 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,049 – $18,008 · median $7,049 | 5 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,782 – $60,757 · median $23,782 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,059 – $18,034 · median $7,059 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $6,917 – $17,672 · median $6,917 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,894 – $20,168 · median $7,894 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,456 – $36,931 · median $14,456 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,828 – $30,218 · median $11,828 | 5 plans |
| 885 | PSYCHOSES | $10,269 – $26,234 · median $10,269 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,257 – $38,978 · median $15,257 | 5 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,873 – $20,113 · median $7,873 | 5 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,075 – $35,958 · median $14,075 | 5 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,599 – $21,967 · median $8,599 | 5 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,003 – $68,987 · median $27,003 | 5 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,905 – $27,861 · median $10,905 | 5 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,441 – $36,893 · median $14,441 | 5 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,225 – $72,109 · median $28,225 | 5 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,668 – $37,473 · median $14,668 | 5 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,651 – $24,655 · median $9,651 | 5 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,017 – $30,701 · median $12,017 | 5 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,510 – $16,631 · median $6,510 | 5 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,363 – $31,583 · median $12,363 | 5 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,898 – $12,514 · median $4,898 | 5 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,530 – $29,457 · median $11,530 | 5 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,301 – $16,098 · median $6,301 | 5 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,459 – $34,386 · median $13,459 | 5 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,369 – $18,825 · median $7,369 | 5 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,061 – $12,929 · median $5,061 | 5 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,861 – $32,857 · median $12,861 | 5 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,482 – $19,114 · median $7,482 | 5 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $156,962 – $401,000 · median $156,962 | 5 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $52,731 – $134,716 · median $52,731 | 5 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,678 – $60,492 · median $23,678 | 5 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,629 – $73,140 · median $28,629 | 5 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,252 – $41,519 · median $16,252 | 5 plans |
| 935 | NON-EXTENSIVE BURNS | $15,144 – $38,690 · median $15,144 | 5 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,676 – $68,150 · median $26,676 | 5 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,180 – $43,891 · median $17,180 | 5 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,907 – $38,084 · median $14,907 | 5 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,385 – $29,085 · median $11,385 | 5 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,431 – $21,539 · median $8,431 | 5 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,332 – $23,842 · median $9,332 | 5 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,885 – $15,035 · median $5,885 | 5 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,746 – $22,345 · median $8,746 | 5 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,615 – $11,789 · median $4,615 | 5 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,088 – $10,443 · median $4,088 | 5 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,485 – $126,422 · median $49,485 | 5 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,664 – $70,676 · median $27,664 | 5 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $56,019 – $143,115 · median $56,019 | 5 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,979 – $79,145 · median $30,979 | 5 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,644 – $55,295 · median $21,644 | 5 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,098 – $51,346 · median $20,098 | 5 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,267 – $28,785 · median $11,267 | 5 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,914 – $17,664 · median $6,914 | 5 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $45,002 – $114,969 · median $45,002 | 5 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,389 – $49,535 · median $19,389 | 5 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,217 – $54,204 · median $21,217 | 5 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,520 – $24,322 · median $9,520 | 5 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,636 – $16,954 · median $6,636 | 5 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,540 – $24,373 · median $9,540 | 5 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,493 – $88,120 · median $34,493 | 5 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,074 – $46,175 · median $18,074 | 5 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,601 – $32,192 · median $12,601 | 5 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,205 – $64,391 · median $25,205 | 5 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,083 – $30,870 · median $12,083 | 5 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,816 – $22,523 · median $8,816 | 5 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $206,023 – $526,338 · median $497,949 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $83,308 – $212,831 · median $201,351 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $156,041 – $398,647 · median $377,144 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $101,831 – $260,154 · median $246,122 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $75,800 – $193,649 · median $183,204 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,090 – $87,091 · median $82,394 | 3 plans |
| 007 | LUNG TRANSPLANT | $95,206 – $243,228 · median $230,108 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $41,203 – $105,264 · median $99,587 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $52,753 – $134,772 · median $127,503 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $40,097 – $102,438 · median $96,912 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $30,995 – $79,184 · median $74,913 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $21,186 – $54,125 · median $51,206 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $88,352 – $225,717 · median $213,543 | 3 plans |
| 016 | AUTOLOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,593 – $111,370 · median $105,363 | 3 plans |
| 017 | AUTOLOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,937 – $102,028 · median $96,525 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $317,466 – $811,049 · median $767,303 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $52,451 – $134,000 · median $126,773 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,849 – $147,790 · median $139,818 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $38,918 – $99,427 · median $94,064 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,359 – $59,677 · median $56,458 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,127 – $107,625 · median $101,820 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,759 – $73,472 · median $69,509 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $33,426 – $85,395 · median $80,789 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,858 – $58,396 · median $55,246 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,548 – $47,385 · median $44,829 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $44,171 – $112,847 · median $106,760 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,081 – $64,076 · median $60,620 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,138 – $41,230 · median $39,006 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,939 – $84,152 · median $79,613 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,666 – $40,024 · median $37,865 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,225 – $31,232 · median $29,548 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,456 – $72,699 · median $68,777 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,574 – $44,898 · median $42,476 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,283 – $36,489 · median $34,521 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,202 – $61,831 · median $58,496 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,929 – $30,475 · median $28,832 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,642 – $22,078 · median $20,887 | 3 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,386 – $72,520 · median $68,609 | 3 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,164 – $41,295 · median $39,068 | 3 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,702 – $32,449 · median $30,699 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,316 – $34,019 · median $32,184 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,199 – $18,391 · median $17,399 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,225 – $28,678 · median $27,131 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,496 – $19,150 · median $18,117 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,079 – $43,632 · median $41,278 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,525 – $24,334 · median $23,021 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,568 – $32,107 · median $30,376 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,123 – $23,306 · median $22,049 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,762 – $17,275 · median $16,344 | 3 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,269 – $51,783 · median $48,990 | 3 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,918 – $33,003 · median $31,223 | 3 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,320 – $26,366 · median $24,944 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,784 – $37,770 · median $35,733 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,427 – $18,975 · median $17,952 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,031 – $12,854 · median $12,161 | 3 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,797 – $27,585 · median $26,097 | 3 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,355 – $16,235 · median $15,359 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,873 – $15,003 · median $14,194 | 3 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,239 – $31,268 · median $29,581 | 3 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,543 – $19,270 · median $18,231 | 3 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,559 – $14,203 · median $13,437 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,794 – $30,132 · median $28,506 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,578 – $19,360 · median $18,316 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,097 – $36,014 · median $34,072 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,067 – $15,499 · median $14,663 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,307 – $33,995 · median $32,161 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,584 – $16,821 · median $15,914 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,803 – $42,928 · median $40,612 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,261 – $26,216 · median $24,802 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,027 – $17,952 · median $16,983 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,702 – $42,670 · median $40,369 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,577 – $24,467 · median $23,147 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,725 – $17,180 · median $16,253 | 3 plans |
| 088 | CONCUSSION WITH MCC | $9,938 – $25,389 · median $24,020 | 3 plans |
| 089 | CONCUSSION WITH CC | $8,077 – $20,634 · median $19,521 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,052 – $15,461 · median $14,627 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,911 – $32,985 · median $31,205 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,521 – $19,214 · median $18,177 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,854 – $14,956 · median $14,149 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,874 – $66,101 · median $62,535 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,961 – $48,442 · median $45,829 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,961 – $48,442 · median $45,829 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,553 – $67,836 · median $64,177 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,871 – $43,102 · median $40,777 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,016 – $25,588 · median $24,208 | 3 plans |
| 100 | SEIZURES WITH MCC | $14,239 – $36,377 · median $34,414 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $6,636 – $16,952 · median $16,038 | 3 plans |
| 102 | HEADACHES WITH MCC | $8,241 – $21,052 · median $19,917 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $6,148 – $15,707 · median $14,860 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,285 – $44,158 · median $41,776 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,947 – $25,412 · median $24,041 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,284 – $28,828 · median $27,273 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,293 – $33,959 · median $32,128 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,976 – $20,376 · median $19,277 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,552 – $21,849 · median $20,670 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,777 – $14,759 · median $13,963 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,871 – $14,999 · median $14,190 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,727 – $24,850 · median $23,510 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,645 – $14,421 · median $13,643 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,953 – $40,756 · median $38,558 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,464 – $19,069 · median $18,041 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,978 – $28,045 · median $26,532 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,515 – $16,644 · median $15,747 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,084 – $23,209 · median $21,957 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,357 – $80,110 · median $75,789 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,035 – $40,965 · median $38,755 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,736 – $29,983 · median $28,366 | 3 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,544 – $70,368 · median $66,572 | 3 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,740 – $32,547 · median $30,791 | 3 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,839 – $22,581 · median $21,363 | 3 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $15,566 – $39,769 · median $37,623 | 3 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $9,348 – $23,881 · median $22,593 | 3 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,860 – $14,971 · median $14,163 | 3 plans |
| 149 | DYSEQUILIBRIUM | $5,526 – $14,116 · median $13,355 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $9,789 – $25,008 · median $23,659 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,396 – $13,786 · median $13,042 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,691 – $22,204 · median $21,006 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,427 – $13,865 · median $13,117 | 3 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $11,494 – $29,365 · median $27,781 | 3 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $6,738 – $17,213 · median $16,285 | 3 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,081 – $12,980 · median $12,280 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,621 – $32,245 · median $30,505 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,689 – $17,088 · median $16,166 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,209 – $13,307 · median $12,589 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,949 – $84,176 · median $79,636 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,556 – $47,405 · median $44,848 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,073 – $35,952 · median $34,013 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,478 – $70,201 · median $66,414 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,258 – $33,871 · median $32,044 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,045 – $25,663 · median $24,279 | 3 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,882 – $55,902 · median $52,887 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,098 – $25,799 · median $24,407 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,918 – $15,119 · median $14,304 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,488 – $29,350 · median $27,767 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,175 – $18,331 · median $17,342 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,551 – $14,180 · median $13,415 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,983 – $33,169 · median $31,380 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,874 – $20,115 · median $19,030 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,542 – $14,158 · median $13,394 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,247 – $28,734 · median $27,184 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,823 – $19,986 · median $18,908 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,782 – $14,772 · median $13,975 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,458 – $29,271 · median $27,693 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,272 – $18,577 · median $17,575 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,273 – $13,470 · median $12,744 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,082 – $23,203 · median $21,951 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,143 – $20,805 · median $19,682 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,197 – $15,833 · median $14,979 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,720 – $12,058 · median $11,408 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,663 – $24,687 · median $23,355 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,925 – $15,136 · median $14,320 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,621 – $11,804 · median $11,168 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,874 – $35,445 · median $33,533 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,977 – $17,826 · median $16,864 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,265 – $13,452 · median $12,726 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,969 – $33,133 · median $31,346 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,082 – $20,647 · median $19,533 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,257 – $13,431 · median $12,706 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,140 – $18,241 · median $17,257 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,926 – $12,584 · median $11,905 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,936 – $15,164 · median $14,346 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,461 – $34,389 · median $32,535 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,919 – $17,676 · median $16,722 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,306 – $120,855 · median $114,336 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,208 – $51,625 · median $48,841 | 3 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $79,943 – $204,235 · median $193,219 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $73,201 – $187,010 · median $176,923 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $71,920 – $183,738 · median $173,828 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $48,340 – $123,496 · median $116,835 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,340 – $123,496 · median $116,835 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,448 – $144,212 · median $136,433 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $39,205 – $100,159 · median $94,757 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,054 – $94,664 · median $89,558 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,372 – $92,921 · median $87,909 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,154 – $59,153 · median $55,963 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $61,974 – $158,328 · median $149,788 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,570 – $113,866 · median $107,725 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $56,205 – $143,590 · median $135,845 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $40,160 – $102,599 · median $97,065 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,144 – $110,223 · median $104,277 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,795 – $78,673 · median $74,430 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,183 – $92,438 · median $87,452 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,956 – $53,537 · median $50,650 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,178 – $26,001 · median $24,599 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,472 – $59,966 · median $56,732 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,666 – $40,022 · median $37,863 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,288 – $33,948 · median $32,117 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $33,541 – $85,690 · median $81,068 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,045 – $40,991 · median $38,780 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,987 – $28,069 · median $26,555 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,645 – $65,516 · median $61,983 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,082 – $48,750 · median $46,120 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,098 – $33,463 · median $31,659 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,830 – $50,662 · median $47,929 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,482 – $31,890 · median $30,169 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,030 – $20,513 · median $19,407 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,100 – $59,014 · median $55,831 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,866 – $37,979 · median $35,930 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,914 – $61,093 · median $57,798 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,898 – $35,507 · median $33,592 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,983 – $30,612 · median $28,961 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,477 – $57,423 · median $54,326 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,559 – $62,742 · median $59,358 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $26,600 – $67,956 · median $64,291 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $45,054 – $115,102 · median $108,894 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $35,000 – $89,416 · median $84,593 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,564 – $129,179 · median $122,211 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,048 – $79,319 · median $75,041 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $38,790 – $99,098 · median $93,753 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,145 – $66,794 · median $63,191 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,769 – $47,950 · median $45,364 | 3 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $30,329 – $77,484 · median $73,305 | 3 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $24,200 – $61,824 · median $58,489 | 3 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $52,420 – $133,922 · median $126,698 | 3 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,159 – $112,815 · median $106,730 | 3 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,954 – $86,744 · median $82,065 | 3 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $40,921 – $104,543 · median $98,904 | 3 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,513 – $67,735 · median $64,081 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $11,793 – $30,128 · median $28,503 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $6,757 – $17,262 · median $16,331 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $5,316 – $13,581 · median $12,849 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $14,562 – $37,203 · median $35,196 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $5,089 – $13,001 · median $12,300 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $4,403 – $11,248 · median $10,642 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $16,268 – $41,560 · median $39,319 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,867 – $20,098 · median $19,014 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,895 – $50,827 · median $48,086 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,549 – $32,059 · median $30,329 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,835 – $17,461 · median $16,520 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,438 – $24,112 · median $22,811 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,242 – $15,946 · median $15,086 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,161 – $10,630 · median $10,057 | 3 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $11,483 – $29,335 · median $27,753 | 3 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $4,661 – $11,908 · median $11,265 | 3 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $3,346 – $8,548 · median $8,087 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,003 – $30,665 · median $29,011 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,848 – $20,050 · median $18,968 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,291 – $13,517 · median $12,788 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,797 – $22,474 · median $21,262 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,949 – $12,644 · median $11,962 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $8,749 – $22,350 · median $21,145 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,551 – $14,182 · median $13,417 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,585 – $29,596 · median $28,000 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,714 – $17,152 · median $16,226 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,851 – $22,613 · median $21,394 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,409 – $13,818 · median $13,072 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,162 – $10,632 · median $10,059 | 3 plans |
| 311 | ANGINA PECTORIS | $5,160 – $13,183 · median $12,472 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,408 – $16,370 · median $15,487 | 3 plans |
| 313 | CHEST PAIN | $5,293 – $13,523 · median $12,793 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,330 – $39,164 · median $37,051 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,082 – $18,092 · median $17,117 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,015 – $12,811 · median $12,120 | 3 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $49,157 – $125,584 · median $118,810 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,810 – $83,821 · median $79,300 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,683 – $45,176 · median $42,739 | 3 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,002 – $51,101 · median $48,345 | 3 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,961 – $33,112 · median $31,326 | 3 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,814 – $81,276 · median $76,892 | 3 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,165 – $59,181 · median $55,989 | 3 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,602 – $60,297 · median $57,045 | 3 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,666 – $93,672 · median $88,620 | 3 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,969 – $45,906 · median $43,430 | 3 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,780 – $30,094 · median $28,471 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,792 – $86,330 · median $81,674 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,623 – $45,024 · median $42,595 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,372 – $31,608 · median $29,903 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,618 – $68,003 · median $64,335 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $17,219 – $43,991 · median $41,618 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,041 – $30,763 · median $29,103 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,252 – $67,068 · median $63,450 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,502 – $39,605 · median $37,469 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,285 – $28,830 · median $27,275 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,988 – $48,510 · median $45,893 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,062 – $28,261 · median $26,737 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,721 – $22,279 · median $21,077 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,877 – $43,115 · median $40,790 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,622 – $24,582 · median $23,256 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,400 – $16,351 · median $15,469 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,320 – $46,802 · median $44,278 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,208 – $28,633 · median $27,088 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,585 – $21,933 · median $20,750 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,335 – $54,505 · median $51,565 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,368 – $31,598 · median $29,894 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,888 – $25,261 · median $23,899 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,294 – $82,505 · median $78,054 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,096 – $43,677 · median $41,321 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,277 – $26,255 · median $24,839 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,703 – $29,899 · median $28,286 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,353 – $18,786 · median $17,772 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,152 – $13,162 · median $12,452 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,035 – $33,302 · median $31,506 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,506 – $19,176 · median $18,142 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,348 – $13,662 · median $12,925 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,723 – $40,169 · median $38,002 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,893 – $22,718 · median $21,493 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,795 – $17,360 · median $16,424 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,439 – $34,333 · median $32,481 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,210 – $18,419 · median $17,426 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,635 – $11,840 · median $11,201 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,425 – $36,854 · median $34,866 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,966 – $20,350 · median $19,252 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,886 – $15,037 · median $14,226 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,150 – $25,932 · median $24,533 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,284 – $16,055 · median $15,189 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,633 – $29,718 · median $28,115 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,177 – $18,337 · median $17,348 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,009 – $12,796 · median $12,106 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,857 – $27,737 · median $26,241 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,806 – $14,834 · median $14,034 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,999 – $10,217 · median $9,666 | 3 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,324 – $23,821 · median $22,536 | 3 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,731 – $14,642 · median $13,852 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,758 – $30,038 · median $28,418 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,879 – $17,574 · median $16,626 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,771 – $12,189 · median $11,532 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,607 – $44,980 · median $42,554 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,128 – $28,428 · median $26,895 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,415 – $21,499 · median $20,340 | 3 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,557 – $75,512 · median $71,439 | 3 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $40,217 – $102,746 · median $97,204 | 3 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $21,321 – $54,471 · median $51,533 | 3 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,318 – $41,688 · median $39,439 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,213 – $66,968 · median $63,356 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,007 – $40,894 · median $38,688 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,672 – $29,820 · median $28,211 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,285 – $62,042 · median $58,695 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,457 – $39,489 · median $37,359 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,207 – $31,187 · median $29,505 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,191 – $66,912 · median $63,303 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,194 – $38,816 · median $36,723 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,023 – $25,605 · median $24,224 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,544 – $44,821 · median $42,403 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,436 – $31,771 · median $30,058 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,041 – $25,652 · median $24,269 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,048 – $63,991 · median $60,540 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,774 – $32,633 · median $30,873 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,289 – $26,285 · median $24,867 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,532 – $78,001 · median $73,793 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,085 – $41,093 · median $38,876 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,030 – $28,178 · median $26,658 | 3 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $81,024 – $206,998 · median $195,833 | 3 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $53,069 – $135,578 · median $128,265 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $41,331 – $105,591 · median $99,896 | 3 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $66,236 – $169,216 · median $160,089 | 3 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,398 – $108,316 · median $102,474 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,470 – $36,966 · median $34,972 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,765 – $19,837 · median $18,767 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,238 – $13,382 · median $12,660 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,503 – $34,496 · median $32,636 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,315 – $21,244 · median $20,098 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,273 – $16,026 · median $15,162 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,985 – $30,618 · median $28,967 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,184 – $15,799 · median $14,947 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,568 – $11,671 · median $11,041 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,194 – $33,708 · median $31,890 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,097 – $18,130 · median $17,152 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,144 – $13,142 · median $12,433 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,284 – $31,382 · median $29,690 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,046 – $20,555 · median $19,446 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,082 – $15,538 · median $14,700 | 3 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,121 – $125,492 · median $118,723 | 3 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,177 – $79,650 · median $75,354 | 3 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,182 – $100,099 · median $94,700 | 3 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,749 – $60,673 · median $57,400 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $61,779 – $157,831 · median $149,318 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,839 – $111,998 · median $105,957 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,676 – $78,369 · median $74,142 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $40,603 – $103,732 · median $98,137 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $19,555 – $49,960 · median $47,265 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,901 – $107,047 · median $101,273 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,898 – $58,500 · median $55,344 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,407 – $34,252 · median $32,405 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,268 – $97,767 · median $92,493 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,926 – $66,236 · median $62,663 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,202 – $51,612 · median $48,828 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,299 – $56,969 · median $53,896 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,181 – $36,228 · median $34,274 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,499 – $90,692 · median $85,800 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,659 – $55,333 · median $52,348 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,948 – $45,852 · median $43,379 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,560 – $80,628 · median $76,279 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,730 – $42,742 · median $40,436 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,676 – $22,166 · median $20,971 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,397 – $64,884 · median $61,384 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,079 – $46,188 · median $43,697 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,666 – $34,913 · median $33,030 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,410 – $54,698 · median $51,748 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,398 – $39,338 · median $37,217 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,991 – $30,633 · median $28,981 | 3 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $20,378 – $52,061 · median $49,253 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,725 – $60,611 · median $57,341 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,373 – $39,275 · median $37,156 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,514 – $29,416 · median $27,829 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,004 – $33,223 · median $31,431 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,210 – $20,975 · median $19,844 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $26,992 – $68,959 · median $65,240 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $18,645 – $47,632 · median $45,063 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $14,751 – $37,686 · median $35,653 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,655 – $68,097 · median $64,424 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,262 – $33,880 · median $32,053 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,883 – $22,694 · median $21,470 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,179 – $56,661 · median $53,605 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,812 – $37,842 · median $35,800 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,267 – $59,441 · median $56,234 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,851 – $32,832 · median $31,061 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,895 – $25,278 · median $23,915 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,519 – $52,422 · median $49,594 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,742 – $35,107 · median $33,213 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,180 – $33,672 · median $31,856 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,919 – $25,340 · median $23,974 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,280 – $33,927 · median $32,097 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,133 – $28,443 · median $26,909 | 3 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $22,206 – $56,730 · median $53,670 | 3 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $15,287 – $39,055 · median $36,948 | 3 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $12,170 – $31,091 · median $29,414 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,574 – $29,568 · median $27,973 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,516 – $19,201 · median $18,165 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,429 – $59,856 · median $56,627 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,278 – $39,030 · median $36,925 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,297 – $28,862 · median $27,305 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,475 – $70,193 · median $66,407 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,705 – $37,567 · median $35,541 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,983 – $28,058 · median $26,545 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,101 – $53,907 · median $51,000 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,569 – $39,774 · median $37,629 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,525 – $29,444 · median $27,856 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,926 – $15,140 · median $14,323 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,425 – $24,078 · median $22,779 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,937 – $15,168 · median $14,350 | 3 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $7,016 – $17,923 · median $16,957 | 3 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $5,295 – $13,529 · median $12,799 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,481 – $36,994 · median $34,999 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,530 – $24,347 · median $23,034 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,789 – $14,789 · median $13,991 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,987 – $33,178 · median $31,388 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,558 – $19,308 · median $18,266 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,548 – $14,173 · median $13,408 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,245 – $46,611 · median $44,097 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,479 – $21,663 · median $20,494 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,147 – $15,705 · median $14,858 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,195 – $36,266 · median $34,310 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,875 – $22,673 · median $21,450 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,426 – $16,417 · median $15,532 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,322 – $31,480 · median $29,782 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,067 – $18,055 · median $17,081 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,530 – $24,347 · median $23,034 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,103 – $15,591 · median $14,750 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,717 – $24,826 · median $23,487 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,106 – $15,600 · median $14,759 | 3 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $10,931 – $27,927 · median $26,420 | 3 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $6,567 – $16,776 · median $15,871 | 3 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,710 – $35,026 · median $33,137 | 3 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,279 – $21,150 · median $20,009 | 3 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,910 – $15,099 · median $14,284 | 3 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $10,475 – $26,760 · median $25,317 | 3 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $6,583 – $16,819 · median $15,912 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,348 – $28,992 · median $27,428 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,163 – $18,301 · median $17,314 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,509 – $14,073 · median $13,314 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,622 – $55,239 · median $52,260 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,421 – $31,732 · median $30,020 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,427 – $21,530 · median $20,368 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,164 – $123,047 · median $116,410 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,521 – $65,199 · median $61,682 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,211 – $33,751 · median $31,930 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,032 – $92,053 · median $87,088 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,487 – $49,785 · median $47,100 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,810 – $30,171 · median $28,544 | 3 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,808 – $60,825 · median $57,544 | 3 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,704 – $32,455 · median $30,704 | 3 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,609 – $27,104 · median $25,642 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,164 – $36,185 · median $34,233 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,677 – $32,387 · median $30,640 | 3 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,738 – $40,206 · median $38,037 | 3 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,182 – $36,232 · median $34,278 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,658 – $19,563 · median $18,508 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,448 – $11,363 · median $10,750 | 3 plans |
| 602 | CELLULITIS WITH MCC | $10,449 – $26,695 · median $25,255 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,403 – $16,357 · median $15,475 | 3 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,822 – $27,649 · median $26,157 | 3 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,734 – $17,204 · median $16,276 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,125 – $28,421 · median $26,888 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,664 – $17,024 · median $16,106 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,113 – $41,166 · median $38,945 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,287 – $26,281 · median $24,864 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,638 – $65,500 · median $61,967 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,750 – $35,128 · median $33,233 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,427 – $26,638 · median $25,201 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,227 – $54,230 · median $51,305 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,765 – $30,056 · median $28,435 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,089 – $28,330 · median $26,802 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,166 – $66,848 · median $63,242 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,188 – $33,693 · median $31,875 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,204 – $23,513 · median $22,245 | 3 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,203 – $56,723 · median $53,663 | 3 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,023 – $28,161 · median $26,642 | 3 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,765 – $24,948 · median $23,602 | 3 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,398 – $69,996 · median $66,220 | 3 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,018 – $40,922 · median $38,714 | 3 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,730 – $27,412 · median $25,933 | 3 plans |
| 637 | DIABETES WITH MCC | $10,562 – $26,984 · median $25,528 | 3 plans |
| 638 | DIABETES WITH CC | $6,589 – $16,832 · median $15,924 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,567 – $11,667 · median $11,038 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $9,819 – $25,085 · median $23,732 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,721 – $14,616 · median $13,828 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $34,563 – $88,301 · median $83,538 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,244 – $69,601 · median $65,847 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $23,742 – $60,656 · median $57,384 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,406 – $59,797 · median $56,572 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,454 – $34,371 · median $32,517 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,185 – $18,355 · median $17,365 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,072 – $12,958 · median $12,259 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,706 – $37,569 · median $35,543 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,279 – $28,815 · median $27,261 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,108 – $43,707 · median $41,350 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,301 – $26,317 · median $24,898 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,319 – $39,137 · median $37,026 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,085 – $20,654 · median $19,540 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,053 – $28,237 · median $26,713 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,774 – $19,860 · median $18,789 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,448 – $42,020 · median $39,754 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,814 – $27,628 · median $26,138 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,898 – $35,507 · median $33,592 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,874 – $25,226 · median $23,865 | 3 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $13,304 – $33,989 · median $32,156 | 3 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $8,401 – $21,462 · median $20,304 | 3 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,821 – $12,315 · median $11,651 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,603 – $21,978 · median $20,793 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,308 – $13,560 · median $12,829 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,902 – $27,851 · median $26,349 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,964 – $15,236 · median $14,414 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,783 – $19,884 · median $18,812 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,940 – $12,621 · median $11,941 | 3 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,659 – $40,005 · median $37,847 | 3 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,892 – $25,271 · median $23,908 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,279 – $67,135 · median $63,514 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,149 – $38,702 · median $36,614 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,796 – $27,581 · median $26,093 | 3 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $26,340 – $67,291 · median $63,662 | 3 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $13,304 – $33,987 · median $32,154 | 3 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $10,484 – $26,785 · median $25,340 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,489 – $34,461 · median $32,602 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,121 – $23,303 · median $22,046 | 3 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,064 – $38,486 · median $36,410 | 3 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,363 – $21,364 · median $20,212 | 3 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,771 – $32,626 · median $30,866 | 3 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,320 – $16,147 · median $15,276 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,199 – $26,056 · median $24,651 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,876 – $48,224 · median $45,623 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,850 – $27,718 · median $26,223 | 3 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,540 – $34,590 · median $32,725 | 3 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,997 – $20,431 · median $19,329 | 3 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,061 – $18,040 · median $17,067 | 3 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,527 – $26,894 · median $25,443 | 3 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,197 – $18,387 · median $17,396 | 3 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,879 – $12,464 · median $11,791 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,407 – $18,923 · median $17,902 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,194 – $10,715 · median $10,137 | 3 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,878 – $20,127 · median $19,041 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,423 – $31,737 · median $30,026 | 3 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,372 – $18,832 · median $17,817 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,813 – $12,296 · median $11,633 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $6,185 – $15,801 · median $14,949 | 3 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,049 – $46,111 · median $43,624 | 3 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,794 – $19,911 · median $18,837 | 3 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,041 – $17,989 · median $17,019 | 3 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,127 – $30,981 · median $29,309 | 3 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,210 – $20,975 · median $19,844 | 3 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,249 – $33,849 · median $32,023 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $43,695 – $111,629 · median $105,608 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,840 – $76,235 · median $72,123 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,006 – $46,000 · median $43,519 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,654 – $78,312 · median $74,088 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,850 – $27,720 · median $26,225 | 3 plans |
| 795 | NORMAL NEWBORN | $1,469 – $3,753 · median $3,550 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,579 – $21,918 · median $20,736 | 3 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,355 – $18,789 · median $17,776 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,036 – $17,976 · median $17,006 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,295 – $85,061 · median $80,473 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,654 – $52,766 · median $49,919 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,034 – $35,853 · median $33,919 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,290 – $74,828 · median $70,792 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,666 – $34,913 · median $33,030 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,969 – $25,468 · median $24,094 | 3 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,934 – $20,269 · median $19,176 | 3 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,543 – $14,161 · median $13,398 | 3 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,957 – $12,663 · median $11,980 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,232 – $41,468 · median $39,232 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,306 – $23,776 · median $22,493 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,694 – $19,657 · median $18,597 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,324 – $26,375 · median $24,953 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,750 – $17,245 · median $16,315 | 3 plans |
| 813 | COAGULATION DISORDERS | $11,214 – $28,648 · median $27,103 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,635 – $39,943 · median $37,789 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,455 – $19,045 · median $18,017 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,646 – $11,870 · median $11,230 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,774 – $42,852 · median $40,541 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,522 – $21,772 · median $20,597 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,322 – $16,150 · median $15,279 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $43,116 – $110,151 · median $104,210 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,457 – $42,045 · median $39,777 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,851 – $22,613 · median $21,394 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,706 – $86,111 · median $81,466 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,656 – $42,552 · median $40,257 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,920 – $25,344 · median $23,977 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,390 – $87,857 · median $83,118 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,991 – $43,408 · median $41,067 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,526 – $32,000 · median $30,274 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,231 – $59,350 · median $56,149 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,064 – $28,267 · median $26,742 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,840 – $22,585 · median $21,367 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,305 – $13,553 · median $12,822 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,844 – $9,821 · median $9,291 | 3 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $40,360 – $103,110 · median $97,548 | 3 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,334 – $39,175 · median $37,062 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,965 – $22,904 · median $21,669 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,320 – $90,233 · median $85,366 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,346 – $39,205 · median $37,090 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,615 – $27,119 · median $25,656 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,994 – $30,641 · median $28,988 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,428 – $18,977 · median $17,954 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,665 – $37,466 · median $35,445 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,950 – $22,865 · median $21,632 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,261 – $15,995 · median $15,132 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,059 – $48,692 · median $46,065 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,617 – $24,570 · median $23,245 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,245 – $15,953 · median $15,093 | 3 plans |
| 849 | RADIOTHERAPY | $19,919 – $50,889 · median $48,144 | 3 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $63,662 – $162,641 · median $153,868 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,307 – $92,756 · median $87,753 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,689 – $37,528 · median $35,504 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,007 – $28,120 · median $26,603 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,441 – $85,433 · median $80,825 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,744 – $40,221 · median $38,052 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,240 – $26,161 · median $24,750 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,407 – $34,252 · median $32,405 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,336 – $18,742 · median $17,731 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,526 – $16,673 · median $15,773 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,015 – $28,141 · median $26,623 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,393 – $16,333 · median $15,452 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,389 – $39,314 · median $37,193 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,580 – $19,366 · median $18,321 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,365 – $13,705 · median $12,966 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,813 – $129,816 · median $122,814 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,281 – $36,484 · median $34,516 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,523 – $19,219 · median $18,183 | 3 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,414 – $72,590 · median $68,674 | 3 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $4,535 – $11,586 · median $10,962 | 3 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $10,407 – $26,587 · median $25,153 | 3 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $12,829 – $32,776 · median $31,008 | 3 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $6,490 – $16,581 · median $15,686 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,852 – $78,820 · median $74,568 | 3 plans |
No procedures match that keyword.